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Prompt endovenous ablation of leg ulcers cost-effective


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Journal
JAMA Surgery
Reuters Health - 01/10/2020 - Early endovenous ablation of superficial venous reflux in patients with venous leg ulceration can help patients and cut cost, according to European researchers. As Dr. Alun H. Davies told Reuters Health by email, "Early referral of patients with leg ulcers for evaluation of treatment of their veins is key. Early vein treatment results in quicker leg-ulcer healing and less recurrence . . . This strategy is very cost-effective." Dr. Davies, of Imperial College London, and colleagues conducted a randomized controlled trial including 450 patients with venous leg ulceration of less than six months' duration and superficial venous reflux. The participants were assigned to an early-intervention group who received compression therapy followed by endovenous ablation within two weeks or to a deferred-intervention group who received compression therapy followed by endovenous ablation generally within 12 months. Median follow-up was about 3....


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